# MOC PHOENIX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOC PHOENIX, LLC
- **Other names:** Rapid Recovery From Mainstreet Health, Rapid Recovery by Mainstreet Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720500465
- **Legal business name:** MOC PHOENIX, LLC
- **Authorized official:** PAUL EZEKIEL TURNER (CEO)
- **Authorized official phone:** (317) 582-6200

## Contact information

- **Practice address:** 3000 N. 91ST AVENUE, PHOENIX, AZ 85037
- **Practice address phone:** (317) 689-2157
- **Practice address fax:** (317) 689-2157
- **Mailing address:** 14390 CLAY TERRACE BLVD STE 205, CARMEL, IN 46032-3669
- **Mailing address phone:** (317) 582-6961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2017
- **Last updated:** 07/21/2022